How much rates vary
Facilitymedian $295 · 10th to 90th $112 to $1,000Professionalmedian $245 · 10th to 90th $138 to $479
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $138.04 | Professional | None | $112.20 | $112.20 | $138.04 |
BCBS Minnesota Setting Facility Modifier None Typical Low $295.12 Median $524.81 Typical High $1,122.02 | Facility | None | $295.12 | $524.81 | $1,122.02 |
BCBS Minnesota Setting Professional Modifier None Typical Low $165.96 Median $229.09 Typical High $407.38 | Professional | None | $165.96 | $229.09 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $288.40 Typical High $549.54 | Facility | None | $186.21 | $288.40 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $331.13 Typical High $524.81 | Professional | None | $213.80 | $331.13 | $524.81 |
Health Partners Setting Facility Modifier None Typical Low $165.96 Median $263.03 Typical High $457.09 | Facility | None | $165.96 | $263.03 | $457.09 |
Health Partners Setting Professional Modifier None Typical Low $186.21 Median $302.00 Typical High $457.09 | Professional | None | $186.21 | $302.00 | $457.09 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $323.59 Typical High $1,445.44 | Facility | None | $125.89 | $323.59 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $147.91 Median $269.15 Typical High $1,122.02 | Professional | None | $147.91 | $269.15 | $1,122.02 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $138.04 Median $245.47 Typical High $524.81 | Professional | None | $138.04 | $245.47 | $524.81 |
10 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | 52 · Reduced service | $56.23 | $56.23 | $56.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | 53 · Discontinued | $22.39 | $22.39 | $22.39 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | 54 · Surgery only | $83.18 | $83.18 | $83.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | 55 · Aftercare only | $16.60 | $16.60 | $16.60 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | 56 · Pre-op care only | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $56.23 Typical High $63.10 | Professional | 52 · Reduced service | $56.23 | $56.23 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $25.12 | Professional | 53 · Discontinued | $22.39 | $22.39 | $25.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $83.18 Typical High $93.33 | Professional | 54 · Surgery only | $83.18 | $83.18 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $19.05 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.22 Typical High $12.59 | Professional | 56 · Pre-op care only | $11.22 | $11.22 | $12.59 |
Where Minnesota sits
The same service costs 8.9 times more in New York than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
NY $2,750MD $308
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.